QUALITY AND OUTCOMES;USING QUALITY INFORMATION

Stewart Black

1: OVERVIEW

A) KEY ISSUES IN QUALITY (slides 2-4)B) OUTCOMES (slides 5-6)C) FACTORS AFFECTING THE USE OF

INFORMATION ON QUALITY (slide 7)D) CONCLUSIONS FOR CCPS

MEMBERS (slide 8)

2: KEY ISSUES IN QUALITY

SOME MAJOR REASONS FOR QUALITY SYSTEMS : -

a) ACCOUNTABILITYb) MANAGEMENTc) EXTERNAL VALIDATIONd) PRESTIGE/PUBLIC RELATIONSe) FEEDBACKf) IMPROVEMENTg) CONTRACTS

3: MAJOR QUALITY SYSTEMS

a) QUALITY CONTROLb) QUALITY ASSURANCEc) ORGANISATIONAL QUALITY

4: WHERE DO YOU LOOK FOR ‘QUALITY’?

1 : INPUTS

2 :PROCESSES

3 : OUTPUTS

4 : OUTCOMES

5: WHOSE ‘OUTCOMES’?

a) SERVICE USERS?b) FAMILIES OF USERS/CARERS?c) YOUR ORGANISATION? d) COMMISSIONING BODY?e) REGULATORY BODY?f) SCOTTISH GOVERNMENT?

6: WHAT’S IMPORTANT ABOUT ‘OUTCOMES’?

• FOCUS NOT CONFINED TO SOCIAL/HEALTH CARE CARE

• IN SOME WAYS, NOT NEW • NEW, IN OTHER WAYS

7: FACTORS AFFECTING USE OF QUALITY SYSTEMSa) INTENDED AND ACTUAL USES OF

SYSTEMSb) THE PROBLEM OF ‘SINGLE

SOLUTION’ APPROACHESc) THE EVIDENCE BASEd) WHO’S REPORTING TO WHOe) WHAT’S REPORTED

8: CONCLUSIONS

a) RE-CONSIDER THE REASON(S) WHY QUALITY IS IMPORTANT

b) CHOOSE THE SYSTEM(S) WHICH IS/ARE MOST APPROPRIATE

c) CONFIRM/RE-CONFIRM THE OUTCOMES REQUIRED

d) CHECK HOW THE SYSTEM(S) FOCUS/ES ON ‘OUTCOMES’

e) CHECK ‘EVIDENCE’ AND ‘REPORTING’ ARRANGEMENTS

Q 1

In your organisation, what’s the main focus of the quality system(s)

a) meeting external requirements (e.g. Care Commission, local authority or health body)

b) meeting standards set by your board/trustees

c) meeting standards set by senior managers

d) something other than a) – c) above.

Q 2

On balance, do you and your colleagues feel that getting the data to provide a routine (at least annual) evidence base for making judgements about quality is successful – or problematic?

Q 3When the ‘results’ are reported from the

quality system(s) in your organisation, what is reported in-house

a) numbers onlyb) qualitative data/case examples

onlyc) a narrative analysis which

identifies trends/conclusions, as well as some numbers/case examples

d) there’s no written report – just an oral report

e) there’s no reporting of any kind?

Q 4

Who receives these reports in your organization, for action?

Q 5

Overall, what single change would you and your colleagues like to make to improve the effectiveness of the quality system(s) you have in place (incl. introducing an additional or new system)?